Core Administrative Processing Platform for TPAs

OraClaim gives TPAs a secure AI-powered claims intelligence layer for organizing claim files, surfacing exposure, benchmarking outcomes, and producing carrier-ready work product faster. Built for defense-side workflows, the platform reduces manual review, improves reserve confidence, and helps claims teams manage higher volumes without adding headcount or sacrificing accuracy.

Claims professionals using an AI administrative processing platform

Our Administrative Processing Platform Services

AI-powered modules help TPAs structure claims, assess exposure, benchmark outcomes, and streamline carrier reporting.

Claim File Review

OraClaim ingests complete claim files, classifies documents, extracts key facts, and flags contradictions, treatment gaps, causation issues, and missing details before they affect reserves or outcomes.

Exposure Analysis

Continuously updated exposure insights help TPAs monitor liability, damages, reserve adequacy, settlement value, medical drivers, wage loss, and material changes as new records enter the file.

Portfolio Management

Portfolio dashboards consolidate reserves, paid losses, defense costs, indemnity payments, exposure analytics, aging, jurisdiction data, and claim-type trends into one drill-down view for claims leadership.

Automated Benchmarking

OraClaim compares open claims against historical outcomes, similar fact patterns, plaintiff counsel histories, reserve ranges, settlement values, and panel-firm performance without manual tagging or analyst preparation.

Case Evaluations

AI-generated case evaluations synthesize liability, damages, medical causation, reserve recommendations, settlement value, trial risk, and carrier-ready narratives in minutes for attorney or adjuster review.

System Integrations

OraClaim integrates upon request with platforms such as Clio, MyCase, Smokeball, PracticePanther, NetDocuments, iManage, Worldox, and Box to support existing workflows.

Claims Intelligence

Turn TPA Claim Operations Into Intelligence

OraClaim helps TPAs move beyond scattered PDFs, manual file review, spreadsheet benchmarking, and delayed reporting. The platform structures unorganized claim materials, surfaces key exposure drivers, generates carrier-ready work product, and connects operational data to portfolio performance. Teams gain faster evaluations, stronger reserve support, better outside-counsel alignment, and the ability to scale claim volume without expanding administrative burden.

AI claims platform dashboard for TPAs
The OraClaim Difference

Why Choose OraClaim?

OraClaim is purpose-built for defense-side claims operations, not generic legal automation.

TPA-Focused

Built for claims professionals managing carrier deliverables, reserves, portfolios, and litigation oversight.

Faster Review

Cuts review time in half by automating classification, extraction, summaries, and issue spotting.

Secure Platform

Closed, access-restricted system with encryption, authentication, and data protection measures.

Scalable Capacity

Helps teams handle more claims without adding headcount or compromising defense quality.

Meet The OraClaim Team

Built by litigation, claims, and security leaders.

Portrait of Mark Tepper, Co-founder and CEO of OraClaim

Mark Tepper

Co-founder & CEO

Mark Tepper is the Co-founder and CEO of OraClaim, an AI-powered platform purpose-built for defense lawyers and claims professionals. Drawing on his firsthand experience litigating claims and managing risk for enterprise companies and insurers, Mark identified a critical gap in the defense ecosystem: overwhelming claim volumes compounded by manual processes and unstructured data. This insight drove him to co-found OraClaim with the mission of leveling the playing field against plaintiff firms leveraging technology. Mark brings deep legal and risk management expertise to the company, guiding its strategic vision and ensuring the platform delivers real, measurable value to defense teams across the United States. His commitment to improving the lives of those who manage and defend claims is at the heart of everything OraClaim builds.

Portrait of Andy Anderson, Co-founder and Head of Sales at OraClaim

Andy Anderson

Co-founder & Head of Sales

Andy Anderson is the Co-founder and Head of Sales at OraClaim, bringing extensive expertise in insurance risk analysis and high-exposure claims management. Having spent his career analyzing risk for insurers and managing complex, high-stakes claims, Andy developed a deep understanding of the inefficiencies that put defense teams at a disadvantage relative to plaintiff firms embracing technology. This experience inspired him to co-found OraClaim alongside Mark Tepper, with the shared goal of transforming how defense lawyers and claims professionals work. As Head of Sales, Andy is dedicated to connecting defense organizations across the United States with OraClaim's AI-driven platform, helping them scale capacity, reduce costs, and achieve better outcomes on every claim without sacrificing quality.

Portrait of Ali Khan, Co-founder and Head of Engineering at OraClaim

Ali Khan

Co-founder & Head of Engineering

Ali Khan is the Co-founder and Head of Engineering at OraClaim, a seasoned data security engineering leader who plays a central role in building and safeguarding the platform's technical foundation. Recognized for his expertise in secure system architecture, Ali was brought on by co-founders Mark Tepper and Andy Anderson specifically to ensure that OraClaim's AI platform meets the highest standards of encryption, authentication, and data protection. His work underpins the trust that defense lawyers, insurance carriers, and claims organizations place in the platform every day. Ali is committed to delivering a robust, secure, and scalable solution that integrates seamlessly with existing practice management and document management systems, empowering defense teams to work smarter without compromising on security or accuracy.

Frequently Asked Questions

What is a core administrative processing platform for TPAs?

A core administrative processing platform for TPAs centralizes claim information, automates routine review, supports reserve and exposure analysis, and improves reporting to carriers or internal stakeholders. OraClaim focuses on defense-side claims intelligence by structuring files, extracting key facts, generating evaluations, benchmarking outcomes, and helping teams manage claims more consistently across portfolios.

How does OraClaim help TPAs reduce manual claim review?

Can OraClaim support reserve recommendations and exposure analysis?

Does OraClaim integrate with existing claims or document systems?

Is OraClaim secure for privileged or confidential claim materials?

What types of TPA deliverables can OraClaim help generate?

How quickly can teams see productivity improvements with OraClaim?

Who is OraClaim best suited for?

Still Have Platform Questions?

Talk with OraClaim about your TPA workflows and goals.

Industry Memberships

Awards and Recognition

DRI membership logo

DRI Membership

Defense industry network and professional affiliation.

FDCC membership logo

FDCC Membership

Defense and corporate counsel professional affiliation.

ADC membership logo

ADC Membership

Association supporting defense counsel communities.

Modernize TPA Claims Administration

Tell OraClaim about your claim volume, reporting requirements, integrations, and operational goals. The team will help you evaluate how AI-powered claims intelligence can streamline administrative processing and improve portfolio visibility.

Contact Us Today

For immediate assistance, feel free to give us a direct call at (650) 550-2920. You can also send us a quick email at legal@oraclaim.com.